Pelvic Floor Rehabilitation Protocol Following Postoperative Transobturator Taping Sling Surgery

Stress urinary incontinence (SUI) is one of the most common yet silent suffering conditions which degrades the quality of life. It can be managed conservatively in less severe cases, whereas surgical management is required in severe cases. The gold standard minimally invasive surgical management of SUI is the transobturator taping (TOT) sling surgery. However, a thorough evaluation and an individualized treatment plan are essential for the effective management of problems following TOT surgery. This case study highlights a postoperative physiotherapy rehab in a 60-year-old patient who underwent TOT sling surgery. The primary complaints of the patient were pain in the perineum and genitopelvic region with adductor muscle spasm, superficial perineum tenderness, vaginal constriction with weak pelvic floor (PF) muscles, and low quality of life. Following the postoperative TOT sling surgery, the patient was given a tailored PF physiotherapy rehabilitation protocol for 4 weeks. The protocol was started on the 4 th postoperative day (POD), in which pain management was done by electrotherapeutic modalities and manual techniques followed by exercise therapy. The patient had a reduction in her complaints after 2 weeks of therapy highlighting the beneficial effects of PF rehabilitation after TOT sling surgery.